Miller Fisher syndrome: a rare variant of Guillain-Barré syndrome

Ano: 2012 | Volume: 2 | Número: 3

Autores: L. P. Bandeira, L. G. Palaoro, J. Degenszajn

Palavras-chave: Miller Fisher syndrome, ataxia, ophthalmoplegia, GQ1b ganglioside [Supplementary concept], facial nerve.

Resumo Inglês:

This report describes the case of a 39-year-old male patient who presented to
the emergency room with complaints of impaired balance, diplopia, and nasal
voice. The patient had a history of upper respiratory tract infection. The initial
physical examination revealed ataxia, ophthalmoplegia, and areflexia, which
are consistent with the classic triad of Miller Fisher syndrome, considered
a benign variant of Guillain-Barré syndrome. The patient developed
peripheral facial paralysis during hospitalization. He underwent a treatment
with immunoglobulin for five days, resulting in near complete resolution of
the ataxia. However, the ophthalmoplegia and areflexia persisted. He was
discharged to outpatient follow-up.